| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
463 |
356 |
$7K |
| A7031 |
Replacement facemask interfa |
101 |
87 |
$2K |
| E1392 |
Portable oxygen concentrator |
299 |
232 |
$1K |
| E0601 |
Cont airway pressure device |
205 |
172 |
$1K |
| A7030 |
Cpap full face mask |
119 |
102 |
$1K |
| E0562 |
Humidifier heated used w pap |
45 |
38 |
$471.75 |
| E0570 |
Nebulizer with compression |
126 |
115 |
$308.36 |
| K0001 |
Standard wheelchair |
44 |
37 |
$255.25 |
| E0431 |
Portable gaseous 02 |
93 |
64 |
$133.56 |
| A4604 |
Tubing with heating element |
145 |
126 |
$116.65 |
| A7034 |
Nasal application device |
37 |
29 |
$78.40 |
| A7035 |
Pos airway press headgear |
107 |
94 |
$69.90 |
| A7038 |
Pos airway pressure filter |
217 |
179 |
$58.35 |
| A7046 |
Repl water chamber, pap dev |
55 |
50 |
$0.00 |